Philip N. Goldthwait, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT751 Issued in ME

Practice address

11 Bangor Mall Blvd Ste 2
Bangor, ME 04401-3650

Phone

(207) 945-4452

Fax

(207) 945-9450

NPI assigned

Dec 7, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goldthwait Vision Care Inc

  • Optometrist
  • Bangor, ME
  • NPI 1023540309
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1508925363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BANGOR MALL BLVD STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013650",
            "telephone_number": "207-945-4452",
            "fax_number": "207-945-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BANGOR MALL BLVD STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013650",
            "telephone_number": "207-945-4452",
            "fax_number": "207-945-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDTHWAIT",
        "first_name": "PHILIP",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Goldberg, D.M.D.
• Jennifer Elizabeth Goldenberg, M.S.S., L.C.S.W.
• Julie Goldman, M.D.
• Dana L Goldsmith, MD
• Goldthwait Vision Care Inc
• Pedro Pablo Gomez Valencia, M.D.
• Francisco Gomez-Chaves, DDS
• Melanie Gonsalves
• Good Samaritan Agency
• Emily A Goode, LCPC

• Optometrist in Bangor, ME
• Providers in Bangor, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.